HomeMy WebLinkAbout2002 CIMA CT; ; 80-202; PermitCONSTRUCTION LENDING AGENCY1 hereby affirm that there is a construction lenperson in any manner so as to become subject tothe Workers Compensation Laws of CaliforniaNOTICE TO APPLICANT If after making this Certificate of Exemption you should become subjectto the Workers Compensation provisions of theLabor Code you must forthwith comply with suchprovisions or this permit shall be deemed revoked1 HAVE CAREFULLY EXAMINED THE COMPLETED AFHEREBY CERTIFY THAT ALL INFORMATION HEREONFURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUECOUNTY AND STATE LAWS GOVERNING BUILDING CCSPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVELESS THE CITY OF CARLSBAD AGAINST ALL LIABILEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSOF THE GRANTING OF THIS PERMIT„:! zzosjE
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IT1 CERTIFICATE OF EXEMPTION FROMWORKERS COMPENSATION INSURANCE(This section need not be completed if the permit is for one hundred dollars (S100) or less)I certify that in the performance of the work forwhich this permit is issued I shall not employ anyCONTRACTORTOTAtTLECTRICAL*
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j CERT OF OCCUPANCY ISSUED
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS
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DECEIVED
JAM 31980
7 CITY OF CARLSBAD
Department
PLANNING DEPARTMENT
70NE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK
ALLOWED
PROVIDED
_PROVIDED_
_PROVIDED
PROVIDED
SIDE SETBACK
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS
REAR SETBACK
ENVIRONMENTAL PROTECTION REQ
r,rwnnT. FEES: /x^ DISTRICT:AMOUNT-
ADDITIONAL COMMENT / 4L
OK TO ISSUE DATE TO FINAL DATE
ENGINEERING DEPARTMENT
ROW INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
EASEMENTS DRAINAGE
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
OK TO ISSUE PWI OK TO FINAL DATE
%
FIRE DEPARTMENT
3PT?IMCLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
FIRE PROTECTION EQJIP
EXITS
LOCATION
ADDITIONAL COMMENTS
OK TO ISSUE DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET_DATE